| NPI | 1760543953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05435900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 066052-1) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-12-27 |